Jacob R. Carroll, DMD
Oral & Maxillofacial Surgery · Glendale, AZ
UnclaimedDMDNPI 1205192663
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2012-04-10
- Practice location
- Glendale, AZ
- Last NPPES update
- 2016-09-26
State licenses
- AZ · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.